Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00036752AP-025824
Provider Information
Brookstone Alzheimer's Special Care Center
5881 WOODSIDE DR SE
Salem, OR 97306
- Provider ID
- 5MA151
- Administrator
- BRANDY KHLYSTOV
- Phone
- (503) 316-0687
- brandy.khlystov@sincerisl.com
Violation Details
- Date
- 6/16/2019
- Report number
- 00036752AP-025824
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
- Findings
- AP1 neglected AV per OAR 4110200002(1)(b)(A)(i) by failing to provide adequate supervision resulting in AV sustaining a skin tear.
- Sanction
- RCFCP20-0001 $375.00 fine assessed